Santosh University Journal of Health Sciences

To identify the clinical profile of children (7-18 Years) presenting in General Pediatrics O.P.D with recurrent headache using international classification of headache disorders 3rd Edition (Beta Vers

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Article Type : Original Article

Author Details: Veenu Agarwal, Mayank Rawat, Rashim Chugh

Volume : 2

Issue : 2

Online ISSN : 2455-1732

Print ISSN :

Article First Page : 112

Article End Page : 116

Abstract

Introduction: Recurrent headaches are affecting quite significant proportion of children and have proven significant adverse impact on various aspects of life besides transition to adulthood headache. Headache should therefore no longer be allowed to remain a nonspecific symptom, rather every headache should be assigned a definite category at the very first encounter. Literature review reveals higher diagnostic rates with the use of new (and relatively lesser used by researchers) classification- International Classification of Headache Diseases 3 (beta version).
Material & Method: Cross sectional study, Pediatrics general OPD at a tertiary level hospital in Ghaziabad consecutive (7 to 18 years) children with recurrent headache (more than 3 episodes in last one year) were enrolled after consent. Children suspected of having secondary headache were excluded. Headache was categorized using ICHD 3 (beta version). A structured questionnaire addressing all diagnostic points was filled, followed by clinical examination. Refraction and ENT examination were done only if suggestive symptoms were present.SPSS version 22 was used for calculation of frequencies and chi square test.
Results: Total 106 eligible children were enrolled, among them primary headache subtypes (ICHD code 1. to 4.) TTH and migraine could be diagnosed in 31(29.2%) and 30 (28.3%) cases respectively. Secondary headache subtypes (code 5 To 12) due to uncorrected   refractive errors (code11.3.2) was detected in 13 (12.3%) participants. 14 (13.2%) cases had recurrent rhino- sinusitis (code 11.5.2). 18(16.9%) children were placed in unspecific category (code 14.2). Strong positive association of migraine was found with family history of headache and overweight.
Conclusion: The use of ICHD 3 beta version could successfully categorise majority of children presenting with recurrent headache, with only clinical evaluation and without investigatory support at first visit.

Keywords: Primary headache, Children, ICHD 3 beta version

Doi No:-10.18231